| NPI | 1457034555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ANN MARIE MINOTT CEO 347-972-4417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| 251G00000X Hospice Care, Community Based | |
| 251X00000X Supports Brokerage | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-10-17 |